Cuff-pressure changes after the addition of 5 mL and 10 mL of air into the cuff of 3 artificial airways, after initial baseline of 30 cm H2O established.

Slides:



Advertisements
Similar presentations
Prospective randomized controlled multi-centre trial of cuffed or uncuffed endotracheal tubes in small children#   M. Weiss, A. Dullenkopf, J.E. Fischer,
Advertisements

The patient is being ventilated with 2 types of breaths.
Airway pressure and flow waveforms during constant flow volume control ventilation, illustrating the effect of an end-inspiratory breath-hold. Airway pressure.
Trigger pressure-time product (PTP) with zero pressure support, with no leak, medium leak, and large leak. Trigger pressure-time product (PTP) with zero.
Relationship between the recruited volume and the arithmetic mean of the ratios of lung density at PEEP 15 cm H2O to lung density at PEEP 5 cm H2O (μP15/P5)
M. Weiss, C. Doell, N. Koepfer, C. Madjdpour, K. Woitzek, V. Bernet 
Lung CT images were obtained while tracing the curve in static conditions. Lung CT images were obtained while tracing the curve in static conditions. Note.
The Arndt endobronchial blocker, one of the commercially available endobronchial blockers for lung isolation. The Arndt endobronchial blocker, one of the.
Picture of bubble PEP devices.
Even though this patient is undergoing positive-pressure mechanical ventilation, the first 4 breaths have a relatively negative pressure (ie, pressure.
An example of delayed cycling during pressure-support ventilation of a patient with COPD, on a Puritan Bennett 7200 ventilator, which has a flow-termination.
At time zero, a water column of 10 cm H2O was poured above the tested endotracheal tube (ETT) cuffs. At time zero, a water column of 10 cm H2O was poured.
The third breath has a negative deflection (ie, below PEEP) at the end of the mechanical breath (arrow A) associated with a flow increase (arrow B), indicating.
Asynchrony index at baseline and following optimization of pressure support (PS) level (A), and following optimization of mechanical inspiratory time (mechanical.
Likert-scale agreement ratings regarding the use of extubation readiness parameters by pediatric critical care physicians. Likert-scale agreement ratings.
Representative example of the use of a fiberoptic bronchoscope (FOB) to guide intubation through a supraglottic airway device. Representative example of.
Example airway pressure and rib-cage impedance in a premature infant supported with the biphasic mode of SiPAP (“sigh” positive airway pressure) from the.
Simulated screenshot of flow starvation in volume control continuous mandatory ventilation. Simulated screenshot of flow starvation in volume control continuous.
Characteristics of a pressure-supported breath.
A: The Parker Flex-Tip tube (left) has a flexible tip pointing toward the center of the distal lumen. A: The Parker Flex-Tip tube (left) has a flexible.
Classic technique for insertion of a laryngeal mask airway (LMA) device. Classic technique for insertion of a laryngeal mask airway (LMA) device. With.
The peak flows (60 L/min) and flow patterns are the same for all the breaths. The peak flows (60 L/min) and flow patterns are the same for all the breaths.
During this tracing of 30 seconds, the ventilator displays that the patient rate is 16 breaths/min. During this tracing of 30 seconds, the ventilator displays.
Comparison of airway pressure release ventilation (APRV) (blue curve) and biphasic positive airway pressure (BIPAP) (black curve). Comparison of airway.
Illustrated here are several features used to determine that the esophageal balloon is correctly placed in the esophagus. Illustrated here are several.
Typical pressure-time curves during forced expiration against an occluded airway in cystic fibrosis (CF) patients and healthy controls. Typical pressure-time.
Top: Stress index (SI) in a patient early in the course of ARDS
This tracing depicts 30 seconds of information.
Graphic representation of a dynamic airway pressure scalar during volume control ventilation with a constant inspiratory flow. Graphic representation of.
A: Axial chest computed tomogram (CT) image with lung-window setting reveals overdistention of the endotracheal tube (arrow head) and a large defect of.
Work rate as a function of pressurization rate and cycling-off threshold, during pressure-support ventilation of (A) patients with acute lung injury (ALI),
Example of Aerogen Solo Nebulizer before use with a fill volume of 3 mL normal saline (arrow 1) (A); the same nebulizer after random premature cessation.
In supine obese people, the weight of the abdomen pushes against the diaphragm, causing a cranial displacement of the muscle. In supine obese people, the.
Flow, esophageal pressure, airway pressure, and transpulmonary pressure can be used to calculate respiratory system compliance, chest-wall compliance,
Esophageal pressure, airway pressure, and transpulmonary pressure (PL) with PEEP set at 26 cm H2O (same patient as Fig. 24). Esophageal pressure, airway.
Negative pressures calculated with the Rosen and Hillard formula
Blom speech cannula. Blom speech cannula. Inspiratory pressure opens the flap valve and closes (expands) the bubble valve, sealing the fenestration so.
Change in mean pulmonary arterial pressure after a 5-min inhalation of the Rho kinase inhibitor Y in rats with hypoxic pulmonary hypertension, with.
Gap size differences between the fiberoptic bronchoscope and a standard endotracheal tube (ETT) are shown. Gap size differences between the fiberoptic.
The Boussignac continuous positive airway pressure (CPAP) is a small plastic cylinder that attaches to a face mask. The Boussignac continuous positive.
Control circuit for set-point or dual targeting schemes.
A: Scanning electron microscopy image of Bivona TTS silicone tube after 3 months of use. A: Scanning electron microscopy image of Bivona TTS silicone tube.
Blind intubation through a supraglottic airway device (SAD), in this case, the laryngeal mask airway (LMA) Fastrach. Blind intubation through a supraglottic.
Intra-device comparison of albuterol captured at the end of the endotracheal tube (lung dose). Intra-device comparison of albuterol captured at the end.
Negative pressures generated in our airway model.
Change in trigger delay during invasive (A) and noninvasive ventilation (B) with variable leak. Change in trigger delay during invasive (A) and noninvasive.
A: Pressure ulcer on the left cheek of a patient after 1 week of prone positioning using a commercially available endotracheal tube (ETT) holder. A: Pressure.
Ciaglia Blue Dolphin percutaneous technique.
The esophageal balloon catheter is advanced to approximately 60 cm, so the catheter tip is in the stomach, confirmed by gently compressing the abdomen,
Graphical representation of the locations where spontaneous breaths may occur during the airway pressure (Paw) release ventilation ventilatory cycle. Graphical.
Calculated negative pressure developed in the lung plotted against the outside diameter of the suction catheter to the inside diameter of the airway. Calculated.
Flow, airway pressure, and transversus abdominis electromyogram (EMG) waveforms from a mechanically ventilated patient with COPD receiving pressure-support.
Components of a patient-triggered mechanical breath.
FEV1 and FVC for the control group (without noninvasive ventilation [NIV]), NIV with an inspiratory pressure (IPAP) of 15 cm H2O and expiratory pressure.
Correlation between maximum inspiratory pressure and inspiratory load compensation (ILC) ventilatory variables in the 16 difficult-to-wean subjects, prior.
Frequency distribution of clinical trials involving first-generation and second-generation supraglottic airway devices (SADs). Frequency distribution of.
The CoPilot. The CoPilot. Like the GlideScope, this video laryngoscope has an angulated blade to facilitate clear image capture of the glottic opening.
Ventilation protocol. Ventilation protocol. The PEEP group raised peak inspiratory pressure (PIP) through 5-cm H2O PEEP increments every 2 min while keeping.
A: Tracheostomy timing in Project IMPACT surgical ICUs
A: Work of breathing before and after nebulized terbutaline delivered via standard nebulization method versus delivered during continuous positive airway.
Diametrical differences between percutaneous dilatational tracheostomy loading dilators and percutaneous tracheostomy tubes. Diametrical differences between.
Double lumen endotracheal tube (DLET) with its upper channel dedicated to fiberoptic bronchoscopy (FOB) and lower channel exclusively dedicated to ventilation.
Experimental setup. Experimental setup. Each tested ventilator was connected to the TTL test lung via a ventilator circuit. An oxygen analyzer, a pressure.
For inspiratory load compensation testing, this threshold positive expiratory pressure (PEP) training device was inverted and connected to a respiratory.
Delivery efficiency with different devices, ventilator positions, and ventilator settings. Delivery efficiency with different devices, ventilator positions,
Enhancing flow synchrony with a variable flow, pressure-targeted breath. Enhancing flow synchrony with a variable flow, pressure-targeted breath. In the.
Average drug doses in the peripheral lung, central lung, and extrathoracic airway; residual drug left in the device; and residual drug that was exhaled.
Fentenyl and lorazepam use for the first 5 d of ventilatory support are presented. Fentenyl and lorazepam use for the first 5 d of ventilatory support.
Representative waveforms for each of the devices tested from which the oscillatory f was counted. Representative waveforms for each of the devices tested.
Effects of an automated endotracheal-tube-compensation system on a pressure-support breath. Effects of an automated endotracheal-tube-compensation system.
Presentation transcript:

Cuff-pressure changes after the addition of 5 mL and 10 mL of air into the cuff of 3 artificial airways, after initial baseline of 30 cm H2O established. Cuff-pressure changes after the addition of 5 mL and 10 mL of air into the cuff of 3 artificial airways, after initial baseline of 30 cm H2O established. The cuff-inflation device was compared to the PressureEasy device and the syringe-inflation method. The first and second bar in each group represent the cuff pressure (from the calibration analyzer) measured after the additional injection of 5 mL and 10 mL of air, with the Sheridan endotracheal tube, the Microcuff endotracheal tube, and the tracheostomy tube. William R Howard Respir Care 2011;56:1506-1513 (c) 2012 by Daedalus Enterprises, Inc.